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Contact Information

BETHANY KINGSBERRY, APRN-NP
5050 NE HOYT ST STE 610
PORTLAND, OR97213-2985
 Phone: 503-467-4761
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for BETHANY KINGSBERRY · (Female)

NPI # 1770045767
Status Active
Credentials APRN-NP
Entity Individual
Enumeration date 04/01/2019
Last updated 03/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 200647
  • OK License # R0121579
  • OR License # 10036936
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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